Haley Funk

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

180.018774 Issued in IL

Practice address

3913 15TH Street D Unit A1
Moline, IL 61265-7267

Phone

(309) 581-1585

NPI assigned

Apr 28, 2023

Last updated

Aug 29, 2026By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Sisu Counseling Center, PLLC

  • Mental Health Counselor
  • Moline, IL
  • NPI 1851160204
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1682640000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787961600000",
    "number": "1700574597",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3913 15TH STREET D UNIT A1",
            "city": "MOLINE",
            "state": "IL",
            "postal_code": "612657267"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3913 15TH STREET D UNIT A1",
            "city": "MOLINE",
            "state": "IL",
            "postal_code": "612657267",
            "telephone_number": "309-581-1585"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FUNK",
        "first_name": "HALEY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-04-28",
        "last_updated": "2026-08-29",
        "certification_date": "2026-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IL",
            "license": "180.018774",
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Fresenius Medical Care Quad Cities, LLC (Fresenius Medical Care Moline)
• Richard Gary Fried, D.C.
• Tamarra A Friedrichsen, AU.D.
• Front Lines Wellness QC LLC
• Ronald Dean Frus, MD
• Andrew Furgason, LCPC
• Tara A Furgason, LCPC
• Rajeshwari Mohan Gadagkar, MD
• Susan K Gallagher, CRNA
• Julie A Gambon, PT

• Mental Health Counselor in Moline, IL
• Providers in Moline, IL by specialty
• Mental Health Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.